scholarly journals A new video laryngoscope specialized for endotracheal intubation in mice

2019 ◽  
Author(s):  
Gang-Qiang Sun ◽  
Wen-jun Guo ◽  
Qing Xu ◽  
Chen Liu ◽  
Shang-Ping Fang
Keyword(s):  
Mechanical Ventilation ◽  
Endotracheal Intubation ◽  
Animal Experiments ◽  
Video Laryngoscope ◽  
Successful Intubation ◽  
Small Rodents ◽  
First Feeding

Abstract Background: Mechanical ventilation is indispensable in many animal experiments, and establishing a stable airway to control breathing is critical. However, endotracheal intubation in small rodents is very difficult due to the lack of visibility of the epiglottis. In addition, traditional blind endotracheal intubation methods usually cause laryngopharyngeal injury and can even result in death; thus, a noninvasive endotracheal intubation device is needed. Results: The video laryngoscope required significantly less time and fewer attempts to achieve successful intubation. The incidences of vomiting reflex, asphyxia and injury were significantly lower in video laryngoscope group. In addition, the time elapsed until the first feeding postextubation was less in video laryngoscope group, indicating faster recovery. Conclusions: The new video laryngoscope endotracheal intubation device used in this study is simple, noninvasive, safe and practical.

scholarly journals The SHINE Trial (A Multicentre, Randomised Trial of Stabilisation with Nasal High Flow During Neonatal Endotracheal Intubation): Statistical Analysis Plan

2021 ◽  
Author(s):  
Kate Hodgson ◽  
Brett Manley ◽  
Omar Kamlin ◽  
Louise Owen ◽  
Calum Roberts ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Endotracheal Intubation ◽  
Randomised Trial ◽  
Upper Airway ◽  
Statistical Analysis Plan ◽  
High Flow ◽  
Successful Intubation ◽  
Upper Airway Surgery ◽  
Nasal High Flow Therapy ◽  
Event Rates

Abstract Endotracheal intubation is an essential but potentially destabilising procedure for neonates. With an increased focus on avoiding mechanical ventilation, particularly in preterm infants, there are fewer opportunities for clinicians to gain proficiency in this important emergency skill. Rates of successful intubation at the first attempt are relatively low, and adverse event rates including desaturation and bradycardia are high, when compared with intubations in paediatric and adult populations. Interventions to improve operator success and patient stability during neonatal endotracheal intubations are needed. Using nasal high flow therapy during apnoea extends the safe apnoea time of adults undergoing upper airway surgery and during endotracheal intubation [1]. This technique is untested in neonates.

scholarly journals C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation

Medicina ◽  
2019 ◽  
Vol 55 (6) ◽  
pp. 225 ◽  
Author(s):  
Byeong Chul Min ◽  
Jong Eun Park ◽  
Gun Tak Lee ◽  
Tae Rim Kim ◽  
Hee Yoon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Logistic Regression ◽  
Cardiopulmonary Resuscitation ◽  
Endotracheal Intubation ◽  
Direct Laryngoscopy ◽  
Multiple Logistic Regression Analysis ◽  
Video Laryngoscope ◽  
Multiple Logistic Regression ◽  
Total N ◽  
Significant Difference

Background and objectives: To compare the first pass success (FPS) rate of the C-MAC video laryngoscope (C-MAC) and conventional Macintosh-type direct laryngoscopy (DL) during cardiopulmonary resuscitation (CPR) in the emergency department (ED). Materials and Methods: This study was a single-center, retrospective study conducted from April 2014 to July 2018. Patients were categorized into either the C-MAC or DL group, according to the device used on the first endotracheal intubation (ETI) attempt. The primary outcome was the FPS rate. A multiple logistic regression model was developed to identify factors related to the FPS. Results: A total of 573 ETIs were performed. Of the eligible cases, 263 and 310 patients were assigned to the C-MAC and DL group, respectively. The overall FPS rate was 75% (n = 431/573). The FPS rate was higher in the C-MAC group than in the DL group, but there was no statistically significant difference (total n = 431, 79% compared to 72%, p = 0.075). In the multiple logistic regression analysis, the C-MAC use had higher FPS rate (adjusted odds ratio: 1.80; 95% CI, 1.17–2.77; p = 0.007) than that of the DL use. Conclusions: The C-MAC use on the first ETI attempt during cardiopulmonary resuscitation in the emergency department had a higher FPS rate than that of the DL use.

scholarly journals First attempt success of video versus direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study

2020 ◽  
Vol 46 (5) ◽  
pp. 1039-1045 ◽  
Author(s):  
Wim Breeman ◽  
Mark G. Van Vledder ◽  
Michael H. J. Verhofstad ◽  
Albert Visser ◽  
Esther M. M. Van Lieshout
Keyword(s):  
Success Rate ◽  
Endotracheal Intubation ◽  
Direct Laryngoscopy ◽  
Prospective Observational Study ◽  
Primary Outcome ◽  
Spontaneous Circulation ◽  
Video Laryngoscope ◽  
Video Laryngoscopy ◽  
Direct Laryngoscope ◽  
Positive Effect

Abstract Purpose The aim of this study was to compare the rate of first attempt success of endotracheal intubation performed by ambulance nurses in patients with a Glasgow Coma Scale (GCS)  of 3 using video laryngoscopy versus direct laryngoscopy. Methods A prospective cohort study was conducted in a single, independent ambulance service. Twenty of a total of 65 nurse-staffed ambulances were equipped with a video laryngoscope; a classic direct laryngoscope (Macintosh) was available on all 65 ambulances. The primary outcome was first attempt success of the intubation. Secondary outcomes were overall success, time needed for intubation, adverse events, technical or environmental issues encountered, and return of spontaneous circulation (ROSC). Ambulance nurses were asked if the intubation device had affected the outcome of the intubation. Results The first attempt success rate in the video laryngoscopy group [53 of 93 attempts (57%)] did not differ from that in the direct laryngoscopy group [61 of 126 (48%); p = 0.221]. However, the second attempt success rate was higher in the video laryngoscopy group [77/93 (83%) versus 80/126 (63%), p = 0.002]. The median time needed for the intubation (53 versus 56 s) was similar in both groups. Ambulance nurses more often expected a positive effect when performing endotracheal intubation with a video laryngoscope (n = 72, 81%) compared with a direct laryngoscope (n = 49, 52%; p < 0.001). Conclusion Although no significant effect on the first attempt success was found, video laryngoscopy did increase the overall success rate. Ambulance nurses had a more positive valuation of the video laryngoscope with respect to success chances.

Dysphagia Following Prolonged Endotracheal Intubation: Is There A Rule of Thumb?

2014 ◽  
Vol 23 (2) ◽  
pp. 80-86
Author(s):  
James L. Coyle
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Mechanical Ventilation ◽  
Adverse Events ◽  
Endotracheal Intubation ◽  
Swallowing Disorders ◽  
Artificial Airway ◽  
Rule Of Thumb

Prolonged endotracheal intubation is a common iatrogenic cause of swallowing disorders. Clinicians frequently seek a decision-making algorithm to determine appropriate timing of assessment, predict the course of recovery, and determine the need for interventions. Many risk factors are present in any patient requiring mechanical ventilation through an artificial airway, making each case a complex and unique puzzle. This paper reviews the literature regarding effects of prolonged endotracheal intubation and risk factors for adverse events, and underscores the uncertainty inherent in management after extubation.

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